Willingness to pay for health insurance and its associated factors among staff of local authorities in Petaling District, Selangor, 2016

Introduction: Currently, Malaysia finds that to fund health care primarily through taxation is no longer sustainable. Health insurance is another option to finance health care in a country. However before any major restructuring is done, the preference of the general population on health insurance c...

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Main Authors: Saman @ Saimy, Intan Syafinaz, Juni, Muhamad Hanafiah, Abdul Manaf, Rosliza
Format: Article
Language:English
Published: Community Health Society Malaysia 2016
Online Access:http://psasir.upm.edu.my/id/eprint/56811/1/Willingness%20to%20pay%20for%20health%20insurance%20and%20its%20associated%20factors%20among%20staff%20of%20local%20authorities%20in%20Petaling%20District%2C%20Selangor%2C%202016.pdf
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author Saman @ Saimy, Intan Syafinaz
Juni, Muhamad Hanafiah
Abdul Manaf, Rosliza
author_facet Saman @ Saimy, Intan Syafinaz
Juni, Muhamad Hanafiah
Abdul Manaf, Rosliza
author_sort Saman @ Saimy, Intan Syafinaz
collection UPM
description Introduction: Currently, Malaysia finds that to fund health care primarily through taxation is no longer sustainable. Health insurance is another option to finance health care in a country. However before any major restructuring is done, the preference of the general population on health insurance can be assessed by eliciting values using willingness to pay (WTP) method. The aim of this study is to determine the proportion of WTP for health insurance and its associated factors among staff of the local authorities in Petaling District. Methodology: This is a cross-sectional study conducted among the staff of local authorities in Petaling District using simple random sampling. A self-administered questionnaire was used to elicit respondents’ WTP for health insurance using the contingent valuation method by a double bounded dichotomous choice format and to determine the factors that affect the willingness of the respondents to pay for health insurance. Variables were described using frequency and percentage for categorical data and mean and standard deviations for continuous variables. Chi square test was then used to measure the associations. Results: Among the respondents, 61.1% were willing to pay for health insurance. Of those, 25.7% were willing to pay maximum of RM20 per head per month followed by 23.0% that were willing to pay RM40 per head per month. The range of their maximum WTP amount was RM5 up to RM200 per head per month or RM 22 to RM 880 per household per month. Factors that were significantly associated with WTP for health insurance were education (p = 0.004), monthly salary for respondents (p = 0.042); as well as knowledge questions on who will be allowed to join SHI (p = 0.002), difference in payment in terms of health status (p = 0.015), difference in payment for those unemployed (p = 0.03) and regarding the allowance to take additional coverage from private health insurances (p = 0.001). Conclusion: Majority of the respondents were willing to pay for health insurance. Level of education, monthly salary and knowledge regarding health insurance were the factors associated with WTP for health insurance.
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spelling upm.eprints-568112017-08-04T10:09:19Z http://psasir.upm.edu.my/id/eprint/56811/ Willingness to pay for health insurance and its associated factors among staff of local authorities in Petaling District, Selangor, 2016 Saman @ Saimy, Intan Syafinaz Juni, Muhamad Hanafiah Abdul Manaf, Rosliza Introduction: Currently, Malaysia finds that to fund health care primarily through taxation is no longer sustainable. Health insurance is another option to finance health care in a country. However before any major restructuring is done, the preference of the general population on health insurance can be assessed by eliciting values using willingness to pay (WTP) method. The aim of this study is to determine the proportion of WTP for health insurance and its associated factors among staff of the local authorities in Petaling District. Methodology: This is a cross-sectional study conducted among the staff of local authorities in Petaling District using simple random sampling. A self-administered questionnaire was used to elicit respondents’ WTP for health insurance using the contingent valuation method by a double bounded dichotomous choice format and to determine the factors that affect the willingness of the respondents to pay for health insurance. Variables were described using frequency and percentage for categorical data and mean and standard deviations for continuous variables. Chi square test was then used to measure the associations. Results: Among the respondents, 61.1% were willing to pay for health insurance. Of those, 25.7% were willing to pay maximum of RM20 per head per month followed by 23.0% that were willing to pay RM40 per head per month. The range of their maximum WTP amount was RM5 up to RM200 per head per month or RM 22 to RM 880 per household per month. Factors that were significantly associated with WTP for health insurance were education (p = 0.004), monthly salary for respondents (p = 0.042); as well as knowledge questions on who will be allowed to join SHI (p = 0.002), difference in payment in terms of health status (p = 0.015), difference in payment for those unemployed (p = 0.03) and regarding the allowance to take additional coverage from private health insurances (p = 0.001). Conclusion: Majority of the respondents were willing to pay for health insurance. Level of education, monthly salary and knowledge regarding health insurance were the factors associated with WTP for health insurance. Community Health Society Malaysia 2016 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/56811/1/Willingness%20to%20pay%20for%20health%20insurance%20and%20its%20associated%20factors%20among%20staff%20of%20local%20authorities%20in%20Petaling%20District%2C%20Selangor%2C%202016.pdf Saman @ Saimy, Intan Syafinaz and Juni, Muhamad Hanafiah and Abdul Manaf, Rosliza (2016) Willingness to pay for health insurance and its associated factors among staff of local authorities in Petaling District, Selangor, 2016. International Journal of Public Health and Clinical Sciences, 3 (6). pp. 35-49. ISSN 2289-7577 http://publichealthmy.org/ejournal/ojs2/index.php/ijphcs/article/view/361
spellingShingle Saman @ Saimy, Intan Syafinaz
Juni, Muhamad Hanafiah
Abdul Manaf, Rosliza
Willingness to pay for health insurance and its associated factors among staff of local authorities in Petaling District, Selangor, 2016
title Willingness to pay for health insurance and its associated factors among staff of local authorities in Petaling District, Selangor, 2016
title_full Willingness to pay for health insurance and its associated factors among staff of local authorities in Petaling District, Selangor, 2016
title_fullStr Willingness to pay for health insurance and its associated factors among staff of local authorities in Petaling District, Selangor, 2016
title_full_unstemmed Willingness to pay for health insurance and its associated factors among staff of local authorities in Petaling District, Selangor, 2016
title_short Willingness to pay for health insurance and its associated factors among staff of local authorities in Petaling District, Selangor, 2016
title_sort willingness to pay for health insurance and its associated factors among staff of local authorities in petaling district selangor 2016
url http://psasir.upm.edu.my/id/eprint/56811/1/Willingness%20to%20pay%20for%20health%20insurance%20and%20its%20associated%20factors%20among%20staff%20of%20local%20authorities%20in%20Petaling%20District%2C%20Selangor%2C%202016.pdf
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AT abdulmanafrosliza willingnesstopayforhealthinsuranceanditsassociatedfactorsamongstaffoflocalauthoritiesinpetalingdistrictselangor2016